All issues > Volume 36(7); 1993

Original Article

J Korean Pediatr Soc. 1993;36(7):944-950. Published online July 15, 1993.

A Clinical Review of Congenital Gastrointestinal Anomalies

Dong Hak DH Shin¹, Woo Hyun WH Park², Chul Young CY Bae³

¹Department of Pediatrics, Keimyung University, College of Medicine, Daegu, Korea
²Department of Pediatric Surgert, Keimyung University, College of Medicine, Daegu, Korea
³Department of Family Medicine, Keimyung University, College of Medicine, Daegu, Korea

Abstract

A clinical review was done on 343 infants and children diagnosed and operated at the Department of Pediatric Surgery in Keimyung University, Dong San Medical Center for congenital gastrointestinal anomalies from January, 1988 to December, 1991. The results are summarized as follows; 1) The most prevalent age group of congenital gastrointestinal anomaly was within first week after birth, and infants within 3months occupied 70% of total, and male to female ratio was 2:1. 2) The most common lesion of congenital gastrointestinal anomalies was stomach with 87 cases (25.4%), followed by anus with 80 cases (23.3%), colon with 63 cases (18.4%) and biliary tract with 38 cases (11.1%). 3) The most common congenital anomaly was congenital hypertrophic pyloric stenosis with 87 cases (25.4%), followed by imperforate anus with 70 cases (20.4%), congenital megacolon with 63 cases (18.4%), and prevalent age was 2 week-3month, first week after birth, 1month-3year. 4) The incidence of common congenital gastrointestinal anomalies were mostly higher in male than in female but choledochal cyst was higher in female than in male. 5) Associated anomalies were observed in 14 cases (4%) of total cases, duodenal atresia was seen the highest rate of the associated anomalies and the most common associated anomaly was annular pancreas, followed by Down syndrome, congenital diaphragmatic hernia.

Keywords :Congenital gastrointestinal anomaly